Provider Demographics
NPI:1629486311
Name:SANFORD BIGGERSTAFF, JULIA ANNE (MS, PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANNE
Last Name:SANFORD BIGGERSTAFF
Suffix:
Gender:F
Credentials:MS, PHD
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2315 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-5805
Mailing Address - Country:US
Mailing Address - Phone:509-993-9311
Mailing Address - Fax:
Practice Address - Street 1:4355 W EMERALD ST
Practice Address - Street 2:SUITE 140
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83706-2050
Practice Address - Country:US
Practice Address - Phone:509-993-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-26
Last Update Date:2014-07-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory